A new baby in the family is considered a bundle of joy by friends and family members alike. New “bundled” CPT® codes arriving January 1st each year are not so well received. Why? Because new CPT® bundled codes invariably decrease revenue.
Two types of CPT® code bundling
NCCI edits published by Medicare
One is the familiar National Correct Coding Initiative (NCCI) edits published by Medicare and updated quarterly. The procedure-to-procedure edits define services that are considered components of another service, and whether or not a modifier is allowed, that would bypass the edit.
There are also mutually exclusive edits defining two services that could not be performed together, such as a hysterectomy removed both vaginally and abdominally. And there are medically unbelievable edits often related to units. This would deny amputating 11 fingers.